Timothy P Fontaine MD

NPI 1093828410 - Specialist - 174400000X

NPI Details
NPI 1093828410
Gender Male
Enumeration Date 08/17/2006
Last Updated 11/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
719 GREEN VALLEY ROAD
SUITE 305
GREENSBORO NC, 27408, US
Phone (336) 275-5391
Fax (336) 275-4702
Business Location
719 GREEN VALLEY ROAD
SUITE 305
GREENSBORO NC, 27408, US
Phone (336) 275-5391
Fax (336) 275-4702
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 38336
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According to our database, Dr. Timothy P Fontaine MD NPI is 1093828410, taxonomy code is 174400000X and license number is 38336, license state is located at North Carolina. Timothy P Fontaine MD physically located at 719 Green Valley Road, Greensboro NC, 27408. NPI Number Timothy P Fontaine MD has the Individual type.

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1093828410 NPI number is provided on an as is basis without warranty of any kind. 1093828410 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy P Fontaine MD are for informational purposes only.